Organization
SUNTREE PSYCHIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANIK LOURDES LUIS-ROIG M.D. (PRESIDENT)
(321) 751-7545
Entity
Organization
Contact information
Practice address
1331 BEDFORD DR, SUITE 101, MELBOURNE, FL 32940-1987
(321) 751-7545
(321) 751-0311
Mailing address
1331 BEDFORD DR, SUITE 101, MELBOURNE, FL 32940-1987
(321) 751-7545
(321) 751-0311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME62778
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26899
BCBS
FL
Enumeration date
07/13/2006
Last updated
04/20/2008
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